Controversies and Cutting Edge

Controversy and differences in clinical practice exist when it comes to the management of croup. The optimal dose of dexamethasone has yet to be defined. Wide interhospital variability in admission rates and administration of glucocorticoids for croup remain.61 More research is needed to determine which children will need inpatient admission for further nebulized or systemic epinephrine after initial treatment in the ED.